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General NPI Number Information
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NPI Number | 1083375471
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Entity Type | Organization
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Legal Business Name | INSIGHT FAMILY COUNSELING AND WELLNESS SERVICES
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 242 W MAIN ST STE 104
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City | TUSTIN
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State | CA
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Zip | 92780-7715
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Country | US
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Telephone | 714-681-0052
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2851
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City | ANAHEIM
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State | CA
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Zip | 92814-0851
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MURIEL CASAMAYOR
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Credential | MA
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Telephone | 714-681-0052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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